Organization
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Active
Other names
Shady Oaks East
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD NOONAN (CHIEF FINANCIAL OFFICER)
(847) 635-4600
Entity
Organization
Contact information
Practice address
16240 S PARKER RD, LOCKPORT, IL 60491-9081
(708) 301-6870
(708) 301-6878
Mailing address
1001 E TOUHY AVE, SUITE# 170, DES PLAINES, IL 60018-5801
(847) 635-4600
(847) 297-3407
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0039263
IL
Other
Enumeration date
05/23/2007
Last updated
07/15/2016
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